Provider Demographics
NPI:1881025161
Name:NEW JERSEY AIDS SERVICES INC.
Entity Type:Organization
Organization Name:NEW JERSEY AIDS SERVICES INC.
Other - Org Name:EDGE NEW JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LITT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:973-285-0006
Mailing Address - Street 1:3 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2155
Mailing Address - Country:US
Mailing Address - Phone:973-285-0006
Mailing Address - Fax:973-285-0067
Practice Address - Street 1:3 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2155
Practice Address - Country:US
Practice Address - Phone:973-285-0006
Practice Address - Fax:973-285-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health